Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $337.67 / $5,649.00 / $15,341.00	Facility		$337.67	$5,649.00	$15,341.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.41 / $207.99 / $657.21	Professional		$142.41	$207.99	$657.21
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,933.33 / $1,933.33 / $2,059.63	Facility		$1,933.33	$1,933.33	$2,059.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.75 / $310.30 / $427.82	Professional		$185.75	$310.30	$427.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.79 / $317.49 / $386.79	Professional		$241.79	$317.49	$386.79
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $156.41 / $248.85 / $497.02	Facility		$156.41	$248.85	$497.02
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $242.30 / $284.58 / $481.67	Professional		$242.30	$284.58	$481.67
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $212.46 / $294.55 / $305.32	Facility		$212.46	$294.55	$305.32
Providence Facility/Professional Facility Modifier Low / Median / High Price $166.14 / $327.70 / $497.02	Facility		$166.14	$327.70	$497.02
Providence Facility/Professional Professional Modifier Low / Median / High Price $262.64 / $332.15 / $432.32	Professional		$262.64	$332.15	$432.32
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $7,123.24 / $9,922.28 / $12,635.80	Facility		$7,123.24	$9,922.28	$12,635.80
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $279.83 / $351.23 / $461.44	Professional		$279.83	$351.23	$461.44
United Facility/Professional Facility Modifier Low / Median / High Price $1,472.00 / $4,880.00 / $7,233.00	Facility		$1,472.00	$4,880.00	$7,233.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.44 / $312.80 / $479.58	Professional		$226.44	$312.80	$479.58